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Medicine OSCE 1.
22 year old male presented with shortness of breath and cough. Upon evaluation, he had pleural effusion in chest x-ray. Following are his lab investigations:
| Pleural Fluid | Serum |
| TLC : 7800 DLC: Neutrophils: 10. Lymphocytes: 90. Protein: 6 g/dl LDH: 1080 U/L | Protein: 5.8g/dl LDH: 485 u/L |
- What is the type of effusion?
- State Lights criteria for pleural fluid analysis?
Medicine OSCE 2.
15 year male presented with joint pain and tenderness with frequent history of sore throat in the past.
- ESR = 40 mm in 1st hour
- ASO = 400 Todd unit
- ECG = PR interval is prolonged.
- What is your complete diagnosis?
- What is the treatment?
Medicine OSCE 3.

- What is the name of the tube?
- What are the length markings for?
- What are the radio-opaque markers for?
Medicine OSCE 4.

- Name the instrument.
- State two common complications.
Medicine OSCE 5.

- What is the X-ray findings?
- Write the treatment of choice?
OSCE 6.

- What is the X-ray findings?
- What is the treatment?
OSCE 7.

- Name this instrument.
- What is the use of the balloon and the markings?
- Name the instrument used to insert the tube?
OSCE 8.
Read the following findings carefully and answer the following questions.
- TLC: 2000.
- DLC: N= 30%, L= 64%, E = 4%, B= 2%.
- Platelets count = 20,000.
- Hemoglobin: 7 g/dl.
Normal abdominal findings.
- What is the abnormality?
- What is your investigation of choice?
- What are two your differential diagnosis?
OSCE 9.
55 years old male presented with acute attack of pain over the left foot. On examination the patient had inflamed red metatarsophalangeal joint.
His serum uric acid level = 9.1 mg/dl.
- What is the complete diagnosis?
- Write the treatment of choice.
OSCE 10.

- Identify the instrument.
- Mention the standard size used in adults.
- Write two important complications?
For answers.

